Whalio Doctors

NPI 1194216663

Jesse Lee Worsham, MD

Practitioner Child & Adolescent Psychiatry Physician Southlake, TX

Practice location

Address
211 E Southlake Blvd STE 107, Southlake, TX 76092-6274
Phone
(817) 670-3857
Fax
(817) 259-2669

Registered specialties (3)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence T5701 (TX)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1194216663
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 May 2018
Record last updated
12 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.